Nasal supratip pilonidal sinus: a rare manifestation

Authors

  • Firamir Bin Zulkifli Department of Otorhinolaryngology and Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah
  • Farah Dayana Bintin Zahedi Department of Otorhinolaryngology and Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah
  • Ahmad Bin Nordin Department of Otorhinolaryngology and Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah
  • Yong Doh Jeing Department of Otorhinolaryngology and Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20193890

Keywords:

Pilonidal sinus, Nasal supratip, External rhinoplasty

Abstract

Pilonidal sinus is widely associated with disease involving the gluteal cleft. Derived from the Latin word (Pilus=hair; nidus=nest), it was first described by Herbert Mayo in 1833. The pathognomonic finding of the pilonidal sinus is the presence of loose hairs in the sinus tract or cavity. We report a case of a fit middle age policeman who developed an unusual chronic discharging sinus over the tip of the nose. A computed tomography (CT) sinogram showed a localized blind subcutaneous tract over the nose. The course of management is discussed with reference to other reported works of literature. The patient was diagnosed to have a subcutaneous sinus over the tip of the nose with the aid of CT sinogram. Surgery was performed to excised the sinus tract through external rhinoplasty approached. Histopathological examination confirmed a sinus tract lined by keratinized stratified squamous epithelium with a tuft of hair. Patient was follow up for another year with no evidence of recurrence.

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References

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Published

2019-08-27

How to Cite

Zulkifli, F. B., Zahedi, F. D. B., Nordin, A. B., & Jeing, Y. D. (2019). Nasal supratip pilonidal sinus: a rare manifestation. International Journal of Otorhinolaryngology and Head and Neck Surgery, 5(5), 1394–1396. https://doi.org/10.18203/issn.2454-5929.ijohns20193890